Kimberley Golubov, RBT

Primary specialty

Behavior TechnicianTaxonomy code 106S00000X

Practice address

1 Huckleberry LN
Forestdale, MA 02644-1206

Phone

(508) 843-4560

NPI assigned

Oct 6, 2016

Last updated

Oct 6, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1427508118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CENTER ST",
            "city": "CARVER",
            "state": "MA",
            "postal_code": "023301210",
            "telephone_number": "508-209-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUCKLEBERRY LN",
            "city": "FORESTDALE",
            "state": "MA",
            "postal_code": "026441206",
            "telephone_number": "508-843-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLUBOV",
        "first_name": "KIMBERLEY",
        "name_prefix": "Ms.",
        "credential": "RBT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-06",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Drouillard, CCC-SLP
• Judy M. Duarte, CPNP
• Jacqueline Elaine Dufault, LICSW
• Terri-Lynn Dunbar, LPN
• Alizabeth Estey-Evans, M.S., CCC/SLP
• Mary Susan Grabowski
• Philana J Henderson, CPNP
• Meaghan Hernon, OTR/L
• Alma Hill, PT, DPT
• Lisa M Holmes, LICSW

• Behavior Technician in Forestdale, MA
• Providers in Forestdale, MA by specialty
• Behavior Technician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.